KAREL ALAN DELEEUW DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

NOT RENEWED

Business

First Name

KAREL ALAN

Last Name

DELEEUW

Suffix

DDS

Business Name

KAREL ALAN DELEEUW DDS

Original Issue Date

11/16/1981

Effective Date

11/16/1981

Expiration Date

09/30/1988

City

BROADVIEW

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005